DR. NOCI DEDA (NPI# 1922018282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922018282 |
| Entity Type | Individual |
| Full Name | DR. NOCI DEDA |
| Credential | M.D. |
| Practice Address |
185 Old Military Rd Lake Placid NY 12946-1939 |
| Mailing Address |
122 Bloomingdale Ave Apt 1 Saranac Lake NY 12983-1223 |
| Practice Telephone | 5185232464 |
| Practice Fax Number | 5185231401 |
| Mailing Telephone | 5185233496 |
| Mailing Fax Number | 5185231401 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
232650 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 06000232650 | 05 | |
| NY | STATE LICENSE | 232650 | 01 |
| NY | DEA | BD8813063 | 01 |
| Street Address |
185 OLD MILITARY RD |
| City | LAKE PLACID |
| State | NY |
| Zip Code | 12946-1939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982181509 | Caitlin Skufca | Occupational Therapist | 185 Old Military Rd, Lake Placid, NY 12946-1939 | 2018-07-26 |
| 1962989541 | Christina Marie Anello | Occupational Therapy Assistant | 185 Old Military Rd, Lake Placid, NY 12946-1939 | 2018-07-26 |
| 1003393638 | Allyson Hubble | Physical Therapist | 185 Old Military Rd, Lake Placid, NY 12946-1939 | 2018-07-26 |
| 1558848200 | Garrett J Rammelt | Physical Therapy Assistant | 185 Old Military Rd, Lake Placid, NY 12946-1939 | 2018-07-25 |
| 1003295411 | 185 Old Military Road Operating Company, LLC | Skilled Nursing Facility | 185 Old Military Rd, Lake Placid, NY 12946-1939 | 2015-05-19 |
| 1982949251 | Colleen Porter | Occupational Therapist | 185 Old Military Rd, Lake Placid, NY 12946 | 2012-11-28 |
| 1619211968 | Gary Joseph Ryan | Physical Therapy Assistant | 185 Old Military Rd, Lake Placid, NY 12946-1939 | 2012-11-26 |
| 1629312095 | Alisha Mullarney | Speech-Language Pathologist | 185 Old Military Rd, Lake Placid, NY 12946-1939 | 2012-11-25 |
| 1447451687 | Robert P Drinkwine | Physical Therapist | 185 Old Military Rd, Lake Placid, NY 12946-1939 | 2007-05-29 |
| 1538179809 | Adirondack Medical Center | Skilled Nursing Facility | 185 Old Military Rd, Lake Placid, NY 12946-1939 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255507497 | Mountain Lake Children's Residence, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 386 River Road, Lake Placid, NY 12946 | 2008-05-07 |
| 1376761411 | Barbara Lynn Lawrence | Technician/Technologist | 96 Nash Street, Lake Placid, NY 12946 | 2007-04-23 |
| 1437202728 | Lake Placid Central School District | Local Education Agency (LEA) | 50 Cummings Road, Lake Placid, NY 12946 | 2007-01-19 |
| 1700952652 | Marcia Jo Dareff-wenn | Social Worker | 18 Coyote Way, Lake Placid, NY 12946 | 2006-11-24 |
| 1891807079 | Herbert Vw Bergamini | General Practice | 26 Swiss Road, Lake Placid, NY 12946 | 2006-08-31 |
| 1235129701 | Lake Placid Volunteer Ambulance Service Inc | Ambulance | 388 Mill Pond Drive, Lake Placid, NY 12946 | 2005-10-26 |
| 1053595496 | Richard S. Donela | Podiatrist | Adirondack Medical Center, 29 Church St., Lake Placid, NY 12946 | 2007-12-20 |
| 1861578502 | Karen L Merrihew-knox | Physical Therapist | 34 School St, Lake Placid Central School, Lake Placid, NY 12946 | 2006-10-27 |
| 1548328149 | Andrew James Donatello | Specialist/Technologist | 10 Northwood Rd, Lake Placid, NY 12946-0062 | 2006-12-05 |
| 1407939853 | Karen Ann White | Psychologist | 55 Barn Rd, Suite 203, Lake Placid, NY 12946-1050 | 2006-10-21 |
| Find all providers in zip 12946 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1013518638 | Well Med Medical PC | Internal Medicine | 140a Washington Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1770116956 | Wellbeing Medical Care, Pllc | Internal Medicine | 3745 75th Street, Jackson Heights, NY 11372-6435 | 2020-02-17 |
| 1962044396 | Shafi S Rana | Internal Medicine | 504 Hillside Blvd, New Hyde Park, NY 11040-2912 | 2019-10-17 |
| 1104468099 | Lebarty Medical Pllc | Internal Medicine | 317 Danielle Dr, Schenectady, NY 12303-5179 | 2019-10-11 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1871153767 | Judith Alyce Salerno | Internal Medicine | 300 E 64th St Apt 27a, New York, NY 10065-7548 | 2019-06-13 |
| 1396259826 | Irina Powers Medical Pllc | Internal Medicine | 1562 1st Ave # 308, New York, NY 10028-4004 | 2017-11-20 |
| 1487027496 | Shujing Lin | Internal Medicine | 6309 New Utrecht Ave, Brooklyn, NY 11219-5425 | 2015-11-12 |
| 1073980744 | Young Soo Lee | Internal Medicine | 211 E 13th St, 4e, New York, NY 10003-5691 | 2015-08-28 |
| 1184007270 | Fiorella Myrella Perez | Internal Medicine | 1 Gustave L Levy Pl # 1070, New York, NY 10029 | 2015-07-07 |
| Find all providers with the same taxonomy | ||||
| City | LAKE PLACID |
| Zip Code | 12946 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.